Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $3,795.64 / $7,119.04	Facility		$2,234.00	$3,795.64	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.16 / $353.95 / $1,381.05	Professional		$239.16	$353.95	$1,381.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.22 / $575.75 / $719.69	Professional		$288.22	$575.75	$719.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $251.43 / $373.76 / $1,145.80	Professional		$251.43	$373.76	$1,145.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $328.06 / $637.00 / $8,625.21	Facility		$328.06	$637.00	$8,625.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $296.00 / $561.13 / $1,924.16	Professional		$296.00	$561.13	$1,924.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $479.86 / $797.79 / $6,324.51	Facility		$479.86	$797.79	$6,324.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $446.33 / $561.13 / $797.79	Professional		$446.33	$561.13	$797.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $233.36 / $444.77 / $9,486.04	Professional		$233.36	$444.77	$9,486.04
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $7,563.76 / $16,222.36	Facility		$3,044.00	$7,563.76	$16,222.36
United Facility/Professional Professional Modifier Low / Median / High Price $279.79 / $475.63 / $827.99	Professional		$279.79	$475.63	$827.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $390.89 / $494.80 / $582.10	Professional		$390.89	$494.80	$582.10